Background: The Accreditation Council for Graduate Medical Education (ACGME) sets strict guidelines governing work hours for internal medicine trainees, not to exceed 80 hours per week. Though many programs grapple with achieving adherence, few published studies report successful changes to meet these limits. Previous efforts at our institution to reduce patient census on the teaching [...]

Background: Over 50% of practicing physicians in the United States report burnout with internal medicine having some of the highest rates. The aim of our study is to identify factors that contribute to burnout in academic hospitalists and the impact that COVID-19 has had on this phenomenon. Methods: 19 academic hospitalists at Froedtert Hospital & [...]

Background: The Accreditation Council for Graduate Medical Education (ACGME) requires residency programs to collect work hour data from trainees, with strict policies that no trainee should exceed an 80-hour work week (on average). Evaluating efforts to reduce work hours frequently relies on self-reported hours from trainees, which is subject to recall bias, inconsistency, and variable [...]

Case Presentation: A 58-year-old male with a history of chronic anemia and schizophrenia presented to the emergency department (ED) from home for seven days of worsening COVID-19 respiratory disease. He was admitted for hypovolemic shock and non-ST-segment elevation myocardial infarction (NSTEMI). His home dose of haloperidol 5 mg daily and 20 mg nightly was continued. [...]

Case Presentation: This patient is a 34 year old female presenting to the ED complaining of progressive weakness,SOB, bloody vomitus, and tarry stool. She had PMH significant for established diagnosis of Bean Syndrome. On presentation she was normotensive, 113/72mmHg but tachycardic 102. Labs revealed acute microcytic anemia H/H 6.7/23.6 MVC 70.9 prior to transfusion. She [...]